_________________________________
Seller

Retail Installment Contract and Disclosure Statement
(Simple Interest)

_________________________________________					__________________________________________
		        (BUYER)									      (DATE)

__________________________________________________________________________________________________________________
					          	            (ADDRESS)

DISCLOSURES REQUIRED BY LAW

					ITEMIZATION OF AMOUNT FINANCED

Cash Price (Including Sales Tax)		$ ______________________________	Unpaid Balance of Cash Price		      $______________________
Down Payment					          		*Amounts Paid to Others on Your Behalf
     Cash				$ _______________________________	           Filing Fees or Title Fees		      $ ______________________
     Trade in (Net of any Loan Balance)	$ _______________________________	          Credit Life and or Disability Insurance      $ ______________________

Trade In Description:	Year ________________	Make ________________	          Vendors Single Interest Insurance	      $ ______________________
Serial Number _____________________________________			          Other ___________________________   $______________________
Total Down Payment			$ _______________________________	Amount Financed			      $______________________
								*Dealer or Lender may be retaining a portion of these fees

ANNUAL PERCENTAGE RATE

The cost of your credit as a yearly rate.

                           %	FINANCE CHARGE

The dollar amount the credit will cost you.

$	AMOUNT FINANCED

The amount of credit provided to you or on your behalf.

$	TOTAL OF PAYMENTS

The amount you will have paid after you have made all payments as scheduled.

$	TOTAL SALES PRICE

The total cost of your purchase on credit, including your downpayment of   
$ ___________.

$	
Your payment schedule will be: 
Number of Payments  	Amount of Payments 	When Payments are Due 	

Security:  You are giving a security interest in:
	The goods or property being purchased:  _____________________________________________________________________
See your contract terms for any additional information about nonpayment, default, and required repayment in full before the scheduled date and prepayment refunds.

SIMPLE INTEREST CONTRACT TERMS

1.	Seller agrees to sell and Buyer agrees to buy the following described property in which Seller retains a security interest to secure payment of all   obligations under this contract:      ________________________________________________________________________________________________
	____________________________________________________________________________________________________________________________

2.	Buyer agrees to pay the amount financed plus interest at the rate of ______% according to the payment schedule set forth above.

3.	There is no penalty for prepayment in full, but Seller may retain a minimum charge of $5.00 if the Amount Financed is $75.00 or less and $7.50 if the Amount Financed exceeds $75.00.  If the amount financed is $250.00 or more, Buyer agrees to pay a minimum charge of $25.00.

4.	Buyer agrees to insure the vehicle.  Insurance may be obtained from a person of Buyer’s choice.

5.	The following events shall constitute a default: a) If the Buyer fails to make a payment as required by this contract; or b) If the prospect of payment, performance, or realization of collateral is significantly impaired.  The following without limitation shall constitute a significant impairment of the prospect of payment, performance or realization of collateral:

A.	Death, insolvency, assignment for the benefit of creditors, or the commencement of any proceeding under any bankruptcy or insolvency laws by or 
			against debtors;

B.	Loss, theft, substantial damage to or destruction of the collateral not covered by insurance;

C.	Sale or prior encumbrance of the collateral;

D.	Failure  by the borrower to renew insurance on the collateral; or termination of insurance on the collateral when substitute insurance is not obtained 
			before the insurance coverage terminates; or

E.	Discovery by the seller of a misstatement of a material fact in any document signed by the buyer which forms part of the basis for extending credit.

6.	In the event of default, Seller may demand the remaining payments or repossess the collateral.  In the event of default due to nonpayment, Buyer is entitled to receive one notice of right to cure default in any 12-month period, providing 14 days to pay all amounts then due.

								NOTICE

__________________________________________		        	NOTICE TO BUYER:
Signature of Seller						        	1. DO NOT  SIGN THIS  AGREEMENT BEFORE YOU  READ IT.
								        	2. YOU  ARE  ENTITLED TO A  COPY OF  THIS AGREEMENT.
__________________________________________		        	BUYER  ACKNOWLEDGES  THAT  HE  HAS  READ  AND
Signature of Buyer						      	RECEIVED A  TRUE COPY OF THIS  CONTRACT IN  ITS 									        		COMPLETED FORM.
__________________________________________
Signature of Co-Buyer

NOTICE TO CO-SIGNERS

BY SIGNING THIS CONTRACT BETWEEN _________________________ AND _________________________ (BUYERS), DATED ________________, __________, YOU OBLIGATE YOURSELF TO PAY THE TOTAL OF PAYMENTS OF $____________________, PLUS COSTS OF REPOSSESSION THAT MAY BE ASSESSED.  EVEN THOUGH YOU MAY RECEIVE NO PERSONAL BENEFIT FROM THIS TRANSACTION, AND YOU CAN BE SUED TO ENFORCE THAT OBLIGATION. YOU HAVE A RIGHT TO RECEIVE A COPY OF THIS AGREEMENT.

SIGNATURE OF CO-SIGNOR_______________________________________________________